The Cardiovascular
ToolsCalculators

PUQE Score for Nausea and Vomiting of Pregnancy

Quantifies severity of nausea and vomiting in pregnancy (PUQE-24).

PUQE Score for Nausea and Vomiting of Pregnancy
Hours of nausea in the last 24 hours
Number of vomiting episodes in the last 24 hours
Number of retching / dry heaving episodes in the last 24 hours
Result3 points

Mild nausea and vomiting of pregnancy.

Category
Mild

When to use

  • Grading severity and tracking response to treatment in nausea and vomiting of pregnancy.

Formula

Sum of three items (hours of nausea, vomiting episodes, retching episodes), each 1-5. Range 3-15: <=6 mild, 7-12 moderate, >=13 severe.

Pearls and pitfalls

  • Severe scores and inability to tolerate oral intake suggest hyperemesis gravidarum requiring rehydration.

References

  1. Koren G, et al. Am J Obstet Gynecol. 2002;186(5 Suppl):S228-31.